Hospital Costs > In Michigan > Tawas St Joseph Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 86 | 430 / 58 | $9.847,21 | 9 / 1 | $12.017,50 | 1458 / 38 | $10.951,30 | 1430 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 57 | $15.691,30 | 3 / 1 | $14.124,90 | 1815 / 38 | $12.935,70 | 1774 / 58 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 42 | $7.792,30 | 4 / 2 | $8.002,11 | 1099 / 26 | $7.090,54 | 1097 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 45 | $6.877,46 | 5 / 2 | $7.009,17 | 1395 / 34 | $6.112,26 | 1390 / 48 |
| G.I. Hemorrhage W Cc | 18 | 200 / 56 | $10.223,10 | 53 / 4 | $6.597,72 | 1212 / 30 | $5.589,72 | 1210 / 33 |
| Heart Failure & Shock W Mcc | 14 | 270 / 66 | $8.767,14 | 6 / 2 | $9.867,14 | 1432 / 38 | $8.923,14 | 1428 / 41 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 40 | $16.104,40 | 5 / 2 | $12.941,20 | 1227 / 30 | $11.733,20 | 1212 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 67 | $7.966,00 | 92 / 3 | $4.880,64 | 1036 / 24 | $3.781,00 | 1028 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 47 | $6.620,00 | 56 / 1 | $4.871,09 | 367 / 39 | $3.204,00 | 367 / 6 | Total 9 procedures | 292 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.